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Description Humana's recently created Clinical Resource Team is looking to grow the team with an Inpatient Senior Medical Coding Auditor roles! This is a unique team that's primary role is to ..
Description Humana's recently created Clinical Resource Team is looking to grow the team with a Senior Medical Coding Auditor roles! This is a unique team that's primary role is to quickly ..
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... The SIU and PPI Lab review team is seeking a Medical ... is seeking a Medical Coding Auditor with a special set of ... focus on coding and clinical..
Description The Supervisor, Compliance Nursing reviews utilization management activities and documentation to ensure adherence to policies, procedures, and regulations and to prevent and detect fraud, waste, and abuse. The Supervisor, Compliance ..
... and supervision of a registered nurse and/or licensed physician. This position ... and supervision of a registered nurse and/or licensed physician, and is ... care under direction of registered..
... looking for a dynamic Registered Nurse to join the team working ... overpayments when they happen. The Nurse Auditor 2 validates and interprets medical ... Qualifications Associate's Degree Active..
Description The Nurse Auditor 2 performs clinical audit/validation processes ... to support optimal reimbursement. The Nurse Auditor 2 work assignments are varied ... Humana is looking for a Nurse Auditor..
Job Information Humana Director, Behavioral Health Strategy in Riverton Wyoming Description The Director, Behavioral Health (DBH) will ensure that populations served by Humana Healthy Horizons have access to quality care for ..
... the team with a Senior Nurse Auditor roles! This is a unique ... should strongly consider the Senior Nurse Auditor opportunity with Humana. Performs clinical ... - Required Qualifications..
... on concurrent and retrospective utilization review. Accurately and thoroughly completes documentation ... of services approved through concurrent review and case management. 7. Works ... External customers: Medical Directors/payors/reviewers, contracted..